ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
When caring for a 3 year old with tetralogy of Fallot, he nurse expects to see fatigue and poor activity tolerance. This is caused by:
Correct Answer: B
Rationale: Tetralogy of Fallot is a heart defect that involves four specific abnormalities in the heart's structure. One of these abnormalities is a ventricular septal defect, which results in a mixing of oxygenated and deoxygenated blood. This leads to inadequate oxygenation of tissues because some of the blood that is pumped out to the body is not fully oxygenated. As a result, the child may experience fatigue and poor activity tolerance due to the reduced oxygen supply to the tissues and organs. This is why the nurse would expect to see these symptoms in a 3-year-old with tetralogy of Fallot.
Question 2 of 5
Three days after admission Ms. CC continued to have frequent stools. Her oral intake of both fluids and solids are poor. Her physician ordered parenteral hyperalimentation. Hyperalimentation solutions are:
Correct Answer: D
Rationale: Hyperalimentation solutions are hypertonic or hyperosmolar solutions used to provide complete nutrition intravenously when a patient is unable to receive adequate nutrition orally. These solutions contain a high concentration of glucose, amino acids, electrolytes, and essential vitamins and minerals. They are used to reverse negative nitrogen balance, provide adequate caloric intake, and promote healing and recovery in patients who are unable to eat or absorb nutrients properly. Hyperalimentation solutions are not used to increase the osmotic pressure of blood plasma (Choice A), for hydration when hemoconcentration is present (Choice B), or to treat metabolic acidosis (Choice C).
Question 3 of 5
All the following are recognizable teratogens EXCEPT
Correct Answer: D
Rationale: Hypothermia is not traditionally considered a teratogen compared to others listed.
Question 4 of 5
Charles is started on chemotherapy, which is aimed at restoring dopaminergic activities. An example of such a drug is:
Correct Answer: D
Rationale: Dopar is a drug that contains L-DOPA (levodopa), which is a precursor to dopamine. L-DOPA is used in the treatment of Parkinson's disease to restore dopaminergic activity in the brain. By converting into dopamine in the brain, L-DOPA helps to alleviate the symptoms of Parkinson's disease, such as muscle rigidity, tremors, and slowed movement. Therefore, Dopar is an example of a drug aimed at restoring dopaminergic activities, making it the correct choice in this scenario.
Question 5 of 5
Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome?
Correct Answer: B
Rationale: The management goal for a child with minimal change nephrotic syndrome is to reduce the excretion of urinary protein. In this condition, there is an abnormal loss of protein in the urine due to damage in the glomeruli of the kidneys. Reducing the excretion of urinary protein helps prevent complications associated with protein loss, such as edema and hypoalbuminemia. While reducing blood pressure may be important in some cases, the primary focus for this specific condition is to address the protein leak in the urine. Increasing the excretion of urinary protein would worsen the condition, and increasing the ability of tissues to retain fluid is not the desired outcome in this context.